| Directions Weight Management | |
|
180 State St Ste 225 Southlake TX 76092-7632 | |
| (682) 429-7066 | |
| Not Available |
| Full Name | Directions Weight Management |
|---|---|
| Speciality | Social Worker |
| Location | 180 State St Ste 225, Southlake, Texas |
| Authorized Official Name and Position | Erik Swayne (OWNER) |
| Authorized Official Contact | 6824297066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Directions Weight Management 2068 Parkridge Dr Hurst TX 76054-3082 Ph: (682) 429-7066 | Directions Weight Management 180 State St Ste 225 Southlake TX 76092-7632 Ph: (682) 429-7066 |
| NPI Number | 1497465884 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Medicare PECOS PAC ID | 5496118556 |
|---|---|
| Medicare Enrollment ID | O20230823001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497465884 | NPI | - | NPPES |
| 2H7606 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Erik Swayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679930671 PECOS PAC ID: 5092197186 Enrollment ID: I20220805002452 |
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